# STOP AND SHOP SUPERMARKET CO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STOP AND SHOP PHARMACY 5
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891727772
- **Authorized official:** BRAD DAYTON (DIRECTOR)
- **Authorized official phone:** (617) 770-8782

## Contact information

- **Practice address:** 19 HOWLEY ST, PEABODY, MA 01960-5617
- **Practice address phone:** (978) 977-3946
- **Practice address fax:** (978) 977-5323
- **Mailing address:** 19 HOWLEY ST, PEABODY, MA 01960-5617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2868 | MA | — |
| 333600000X | Pharmacy | 2868 | MA | — |
| 3336C0003X | Community/Retail Pharmacy | 2868 | MA | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 10/20/2011